Profile of burn trauma in Rohilkhand region of Uttarpradesh.

Background: Burn trauma is the common problems seen in emergency in tertiary care centre of Rohilkhand region. So, far there is no published study regarding the magnitude of burn trauma in this area. Aims & Objective: To study the etiology of major burn trauma in Rohilkhand region of Uttar Pradesh. Material and Methods: This retrospective study was carried out on 96 patients admitted in the Department of Surgery, Rohilkhand Medical College & Hospital, Bareilly during the period of 1st January 2010 to 31st December 2012. Results: Among the total of 36 patients (37.5%) from urban area, 16 (16.6%) were males and 20 (20.8%) were females and from rural area 46 (47.9%) were male and 14 (14.6) were female. The most frequent etiological agent was hot liquid (45.8%) followed by flame burns (33.3%), chemical (13.5%) and electrical (7.2%). Out of the total patients, 47 (48.9%) had 1 and 2 degree burn, 32 (33.3%) had 3 degree burn and 17 (17.7%) had mixed burn. Out of the total of 20 patients, who had died 6 were males and 14 were females. Conclusion: The most frequent cause of burn in Rohilkhand region was hot liquid. The mortality rate was higher for females than males.

Endogenous candidal endophthalmitis associated with flame burn injury and advanced gastric cancer

PURPOSE: We report a case of candidal endophthlmitis developed in a patient with advanced gastric cancer who recently injured by flame burn. He was treated successfully with intravitreous and intravenous antifungal agents. METHODS: A 40-year-old man visited with complaints of decreased binocular visual acuity 7 weeks after third degree flame burn injury to 25% of body surface. Indirect ophthalmoscope showed findings of fungal endophthalmitis and upper gastro-intestinal endoscopic examination diagnosed of fungal esophagitis and advanced gastric cancer. He was treated with amphotericin B intranvitreously and fluconazole and amphotericin B intravenously. RESULTS: His visual acuity was improved to 20/50 (OD), 20/30 (OS) following 4 weeks after treatment and intraocular inflammation was decreased. After 5 months, he recovered his visual acuity as 20/25 (OD), 20/20 (OS), and had no inflammation in anterior chamber and vitreous.

A Case of Lightning Burn with Flame Burn / 대한피부과학회지

Lightning injury is uncommon, as evidenced by the fact that most physicians never see or treat such a victim. To our knowledge, there were no reports of lightning burn with flame burn. We report a case of lightning burn with flame burn. On a rainy day, a 64-year-old woman with an umbrella in her left hand was walking along a road. When lightning struck the tip of her umbrella, her clothes were flamed. She threw herself into the water in a nearby field. The fire was extinguished. Then she lost consciousness, but she regained consciousness immediately. She was transported to our hospital. On arrival at our emergency center, her physical examination was remarkable. The patient had an entrance wound of the left palm and an exit wound of the left foot as well as 25 % total body surface burns, which were present in the flexor surface of the left hand, left arm, left leg and left flank. Histopathology showed epidermal and dermal necrosis. Three months later the burns were healed spontaneously, with some remaining scars.

Very Long Island Pedicled Sole - fillet Flap for Below - Knee Amputation Stump Reconstruction: 2 Cases Report / 대한정형외과학회잡지

The pedicled fillet flap concept has been successfully applied in both the upper and lower extremities for the treatment of difficult wound. In cases of inevitable extremity amputation, the transfer of pedicled flap from the amputed part is possible. In such substance, it is possible to obtain the pedicled fillet flap from the amputed limb to provide stump coverage. We experienced two cases of below-knee amputation due to severe flame burn which the stump was covered with island pedicled sole-fillet flap.